Skip to main content Accessibility help
×
Hostname: page-component-cb9f654ff-9knnw Total loading time: 0 Render date: 2025-09-01T22:46:14.207Z Has data issue: false hasContentIssue false

Section 11 - Psychosocial Considerations

Published online by Cambridge University Press:  08 April 2025

Edited by
Peter F. Schnatz ,
D. Yvette LaCoursiere ,
Christopher M. Morosky ,
Jonathan Schaffir ,
Vanessa Torbenson  and
David Chelmow
Peter F. Schnatz
Affiliation:
The Reading Hospital, Pennsylvania
D. Yvette LaCoursiere
Affiliation:
University of California, San Diego
Christopher M. Morosky
Affiliation:
University of Connecticut School of Medicine
Jonathan Schaffir
Affiliation:
The Ohio State University College of Medicine
Vanessa Torbenson
Affiliation:
Mayo Clinic Alix School of Medicine
David Chelmow
Affiliation:
Virginia Commonwealth School of Medicine
Get access

Information

Type
Chapter
Information
Pregnancy Complications
A Case-Based Approach
 , pp. 283 - 307
Publisher: Cambridge University Press
Print publication year: 2025

Access options

Get access to the full version of this content by using one of the access options below. (Log in options will check for institutional or personal access. Content may require purchase if you do not have access.)

Book purchase

Temporarily unavailable

References

References

ACOG Committee Opinion No. 729 Summary: Importance of Social Determinants of Health and Cultural Awareness in the Delivery of Reproductive Health Care. Obstet Gynecol. 2018;131(1):198–199.Google Scholar
ACOG Clinical Practice Guideline Number 4: Screening and Diagnosis of Mental Health Conditions during Pregnancy and Postpartum. Obstetr Gynecol. 2023;141(6):1232–1261.CrossRefGoogle Scholar
Jones, KG, Roth, SE, Vartanian, KB. Health and Health Care Use Strongly Associated with Cumulative Burden of Social Determinants of Health. Popul Health Manag. 2022;25(2):218–226.CrossRefGoogle ScholarPubMed
Centers for Disease Control and Prevention. Social Determinants of Health (SDOH). www.cdc.gov/about/priorities/why-is-addressing-sdoh-important.html (accessed November 7, 2024).Google Scholar
US Department of Health and Human Services, Office of Disease Prevention and Health Promotion. Healthy People 2030. https://health.gov/healthypeople/objectives-and-data/social-determinants-health (accessed October 20, 2024).Google Scholar
Society for Maternal-Fetal Medicine; Greenberg, MB, Gandhi, M, et al. Society for Maternal-Fetal Medicine Consult Series #62: Best Practices in Equitable Care Delivery – Addressing Systemic Racism and Other Social Determinants of Health as Causes of Obstetrical Disparities. Am J Obstet Gynecol. 2022;227(2):B44–B59.Google Scholar
Wang, E, Glazer, KB, Howell, EA, et al. Social Determinants of Pregnancy-Related Mortality and Morbidity in the United States: A Systematic Review. Obstet Gynecol. 2020;135(4):896–915.CrossRefGoogle ScholarPubMed
FitzGerald, C, Hurst, S. Implicit Bias in Healthcare Professionals: A Systematic Review. BMC Med Ethics. 2017;18:19.Google ScholarPubMed
Arvizo, C, Garrison, E. Diversity and Inclusion: The Role of Unconscious Bias on Patient Care, Health Outcomes and the Workforce in Obstetrics and Gynaecology. Curr Opin Obstet Gynecol. 2019;31(5):356–362.CrossRefGoogle ScholarPubMed

References

CDC. Fast Facts: Preventing Intimate Partner Violence. Intimate Partner Violence. www.cdc.gov/intimate-partner-violence/about/index.html?CDC_AAref_Val=https://www.cdc.gov/violenceprevention/intimatepartnerviolence/index.html (accessed November 12, 2024).Google Scholar
WHO. Violence against Women. www.who.int/news-room/fact-sheets/detail/violence-against-women (accessed June 7, 2023).Google Scholar
Responding to Intimate Partner Violence and Sexual Violence against Women: WHO Clinical and Policy Guidelines. Geneva: WHO, 2013. www.ncbi.nlm.nih.gov/books/NBK174254/ (accessed June 7, 2023).Google Scholar
Alhusen, JL, Ray, E, Sharps, P, et al. Intimate Partner Violence during Pregnancy: Maternal and Neonatal Outcomes. J Womens Health (Larchmt). 2015;24(1):100–106.Google ScholarPubMed
Intimate Partner Violence: Committee Opinion No. 518. American College of Obstetricians and Gynecologists. Obstet Gynecol. 2012;119:412–417.Google Scholar
Screening for Intimate Partner Violence and Abuse of Elderly and Vulnerable Adults: US Preventive Services Task Force Recommendation Statement. Rockville, MD: US Preventive Services Task Force, 2013.Google Scholar
Drexler, KA, Quist-Nelson, J, Weil, AB. Intimate Partner Violence and Trauma-Informed Care in Pregnancy. Am J Obstet Gynecol MFM. 2022;4(2):100542.Google ScholarPubMed
Lutgendorf, MA. Intimate Partner Violence and Women’s Health. Obstet Gynecol. 2019;134(3):470–480.CrossRefGoogle ScholarPubMed
Feder, GS, Hutson, M, Ramsay, J, et al. Women Exposed to Intimate Partner Violence: Expectations and Experiences When They Encounter Health Care Professionals: A Meta-analysis of Qualitative Studies. Arch Intern Med. 2006;166(1):22–37.Google ScholarPubMed

References

Wesson, DR, Ling, W. The Clinical Opiate Withdrawal Scale (COWS). J Psychoactive Drugs. 2003;35:253–259.Google ScholarPubMed
American College of Obstetricians and Gynecologists. Opioid Use and Opioid Use Disorder in Pregnancy: Committee Opinion No. 711. Obstet Gynecol. 2017;130:e81–e94.Google Scholar
American College of Obstetricians and Gynecologists. Alcohol Abuse and Other Substance Use Disorders: Ethical Issues in Obstetric and Gynecologic Practice: Committee Opinion No. 633. Obstet Gynecol. 2015;125:1529–1537.Google Scholar
Substance Abuse and Mental Health Services Administration. Clinical Guidance for Treating Pregnant and Parenting Women with Opioid Use Disorder and Their Infants. Rockville, MD: SAMHSA; 2018.Google Scholar
The ASAM National Practice Guideline for the Treatment of Opioid Use Disorder: 2020 Focused Update. J Addict Med. 2020;14(2S):1–91.CrossRefGoogle Scholar
Leeman, L, Starer, J. Medication Assisted Treatment for Opioid Use Disorder during Pregnancy. In: Opioid-Use Disorders in Pregnancy: Management Guidelines for Improving Outcomes. Cambridge: Cambridge University Press; 2018. 84–92.Google Scholar
Jones, HE. Treatment Approaches in Women with Substance Use Disorders Who Become Pregnant. In: Opioid-Use Disorders in Pregnancy: Management Guidelines for Improving Outcomes. Cambridge: Cambridge University Press; 2018. 72–83.Google Scholar
Jones, HE, Kaltenbach, K, Heil, SH, et al. Neonatal Abstinence Syndrome after Methadone or Buprenorphine Exposure. N Engl J Med. 2010;363:2320–2331.CrossRefGoogle ScholarPubMed
Minozzi, S, Amato, L, Jahanfar, S, et al. Maintenance Agonist Treatments for Opiate‐Dependent Pregnant Women. Cochrane Database Syst Rev. 2020;11(11):CD006318.CrossRefGoogle Scholar
Waiver Elimination (MAT Act) 2023. www.samhsa.gov/medications-substance-use-disorders/waiver-elimination-mat-act (accessed June 14, 2023).Google Scholar

References

What Languages Do We Speak in the United States? Nearly 68 Million People Spoke a Language Other Than English at Home in 2019. www.census.gov/library/stories/2022/12/languages-we-speak-in-united-states.html (accessed May 10, 2023).Google Scholar
The Limited English Proficient Population in the United States in 2013. www.migrationpolicy.org/article/limited-english-proficient-population-united-states-2013 (accessed May 10, 2023).Google Scholar
Ortega, P, Shin, TM, Martinez, GA. Rethinking the Term “Limited English Proficiency” to Improve Language-Appropriate Healthcare for All. J Immigr Minor Health. 2022;24:799–805.CrossRefGoogle ScholarPubMed
Chen, AH, Youdelman, MK, Brooks, J. The Legal Framework for Language Access in Healthcare Settings: Title VI and Beyond. J Gen Intern Med. 2007;22:362–367.Google ScholarPubMed
Karliner, LS, Jacobs, EA, Chen, AH, et al. Do Professional Interpreters Improve Clinical Care for Patients with Limited English Proficiency? A Systematic Review of the Literature. Health Serv Res. 2007;42:727–754.Google ScholarPubMed
Flores, G. The Impact of Medical Interpreter Services on the Quality of Health Care: A Systematic Review. Med Care Res Rev. 2005;62:255–299.CrossRefGoogle ScholarPubMed
Togioka, BM, Seligman, KM, Delgado, CM. Limited English Proficiency in the Labor and Delivery Unit. Curr Opin Anaesthesiol. 2022;35:285–291.CrossRefGoogle ScholarPubMed
Gurman, TA, Moran, A. Predictors of Appropriate Use of Interpreters: Identifying Professional Development Training Needs for Labor and Delivery Clinical Staff Serving Spanish-Speaking Patients. J Health Care Poor Underserved. 2008;19:1303–1320.Google ScholarPubMed
Fox, MT, Godage, SK, Kim, JM, et al. Moving from Knowledge to Action: Improving Safety and Quality of Care for Patients with Limited English Proficiency. Clin Pediatr (Phila). 2020;59:266–277.CrossRefGoogle ScholarPubMed
Flores, G, Laws, MB, Mayo, SJ, et al. Errors in Medical Interpretation and Their Potential Clinical Consequences in Pediatric Encounters. Pediatrics. 2003;111:6–14.CrossRefGoogle ScholarPubMed

References

Vanderkruik, R, Barreix, M, Chou, D, et al. The Global Prevalence of Postpartum Psychosis: A Systematic Review. BMC Psychiatry. 2017;17:272.Google ScholarPubMed
Kamperman, AM, Veldman-Hoek, MJ, Wesseloo, R, et al. Phenotypical Characteristics of Postpartum Psychosis: A Clinical Cohort Study. Bipolar Disord. 2017;19(6):450–457.Google ScholarPubMed
Di Florio, A, Forty, L, Gordon-Smith, K, et al. Perinatal Episodes across the Mood Disorder Spectrum. JAMA Psychiatry. 2013;70(2):168–175.Google ScholarPubMed
Robertson Blackmore, E, Rubinow, DR, O’Connor, TG, et al. Reproductive Outcomes and Risk of Subsequent Illness in Women Diagnosed with Postpartum Psychosis. Bipolar Disord. 2013;15(4):394–404.Google Scholar
Osborne, LM. Recognizing and Managing Postpartum Psychosis: A Clinical Guide for Obstetricians. Obstet Clin North Am. 2018;45(3):455–468.CrossRefGoogle Scholar
Ayre, K, Gordon, HG, Dutta, R, et al. The Prevalence and Correlates of Self-harm in the Perinatal Period: A Systematic Review. J Clin Psychiatry. 2019;81:19r12773.CrossRefGoogle ScholarPubMed
Rodriquez-Cabezas, L, Clark, C. Psychiatric Emergencies in Pregnancy and Postpartum. Clin Obstet Gynecol. 2018;61:615–627.CrossRefGoogle Scholar
ACOG Clinical Practice Guideline Number 4: Screening and Diagnosis of Mental Health Conditions during Pregnancy and Postpartum. Obstetr Gynecol. 2023;141(6):1232–1261.CrossRefGoogle Scholar
ACOG Clinical Practice Guideline Number 5: Treatment and Management of Mental Health Conditions during Pregnancy and Postpartum. Obstetr Gynecol. 2023;141(6):1262–1288.Google Scholar
Bergink, V, Rasgon, N, Wisner, KL. Postpartum Psychosis: Madness, Mania, and Melancholia in Motherhood. Am J Psychiatry. 2016;173(12);1179–1188.CrossRefGoogle ScholarPubMed

References

Yildiz, PD, Ayers, S, Phillips, L. The Prevalence of Posttraumatic Stress Disorder in Pregnancy and after Birth: A Systematic Review and Meta-analysis. J Affect Disord. 2015;208:634–645.Google Scholar
Kranenburg, L, Lambregtse-van den Berg, M, Stramrood, C. Traumatic Childbirth Experience and Childbirth-Related Post-traumatic Stress Disorder (PTSD): A Contemporary Overview. Int J Environ Res Public Health. 2023;20(4):2775.Google ScholarPubMed
American Psychiatric Association. Diagnostic and Statistical Manual of Mental Disorders, 5th ed. Arlington, VA: American Psychiatric Publishing; 2013.Google Scholar
Ayers, S, Bond, R, Bertullies, S, et al. The Aetiology of Post-traumatic Stress Following Childbirth: A Meta-analysis and Theoretical Framework. Psychol Med. 2015;46(6):1121–1134.CrossRefGoogle Scholar
Cook, N, Ayers, S, Horsch, A. Maternal Posttraumatic Stress Disorder during the Perinatal Period and Child Outcomes: A Systematic Review. J Affect Disord. 2018;225:18–31.Google ScholarPubMed
van Sieleghem, S, Danckaerts, M, Rieken, R, et al. Childbirth Related PTSD and Its Association with Infant Outcome: A Systematic Review. Early Hum Dev. 2022;174:105667.Google ScholarPubMed
DeGraff, LF, Honig, A, Van Pampus, MG, et al. Preventing Post-traumatic Stress Disorder following Child-Birth and Traumatic Birth Experiences: A Systematic Review. Acta Obstet Gynecol Scand. 2018;97:648–656.Google Scholar
Forkus, SR, Raudales, AM, Rafiuddin, HS, et al. The Posttraumatic Stress Disorder (PTSD) Checklist for DSM-5: A Systematic Review of Existing Psychometric Evidence. Clin Psychol. 2023;30(1):110–121.Google ScholarPubMed
Weathers, FW, Litz, BT, Keane, TM, et al. The PTSD Checklist for DSM-5 (PCL-5) – Standard [Measurement instrument]. www.ptsd.va.gov/.Google Scholar
ACOG Committee Opinion No. 559: Cesarean Delivery on Maternal Request. Obstet Gynecol. 2013;121(4):904–907.Google Scholar

References

ACOG Committee Opinion #787: Human Trafficking. Obstet Gynecol. 2019;134:90–95.CrossRefGoogle Scholar
National Human Trafficking Hotline. Recognizing the Signs. https://humantraffickinghotline.org/en/human-trafficking/recognizing-signs (accessed August 2, 2023).Google Scholar
Family Violence Prevention Fund. Turning Pain into Power: Trafficking Survivors’ Perspectives on Early Intervention Strategies 2005. www.futureswithoutviolence.org/userfiles/file/ImmigrantWomen/Turning%20Pain%20intoPower.pdf (accessed August 2, 2023).Google Scholar
Prakash, J, Oriola, B, Kurtzer, T, et al. “Praying for Freedom”: A Story of Labor Trafficking during Pregnancy. Am J Obstet Gynecol MFM. 2023;5:100873.CrossRefGoogle Scholar
Tracy, EE, Macias-Konstantopoulos, W. Identifying and Assisting Sexually Exploited and Trafficked Patients Seeking Women’s Health Care Services. Obstet Gynecol. 2017;130(2):443–453.CrossRefGoogle ScholarPubMed
Simich, L, Goyen, L, Powell, A, et al. Improving Human Trafficking Victim Identification: Validation and Dissemination of a Screening Tool. Final Report. Washington, DC: National Institute of Justice; 2014. www.ojp.gov/pdffiles1/nij/grants/246712.pdf (accessed October 20, 2024).Google Scholar
Adult Human Trafficking Screening Toolkit and Guide. Washington, DC: US Department of Health and Human Services; 2018.Google Scholar
National Human Trafficking Hotline. Framework for a Human Trafficking Protocol in Healthcare Settings. https://humantraffickinghotline.org/en/resources/framework-human-trafficking-protocol-healthcare-settings (accessed August 2, 2023).Google Scholar
ACOG Committee Opinion #825: Caring for Patients Who Have Experienced Trauma. Obstet Gynecol. 2021;137:94–99.CrossRefGoogle Scholar
Engler, LA, Mercer, L. Assessment of Human Trafficking Knowledge among Staff in a Tertiary Care Academic Medical Center [05G]. Obstetr Gynecol. 2020;135:71S–72S.Google Scholar

References

World Health Organization (WHO). Female Genital Mutilation. Fact Sheet No. 241, Updated Feb 2024. www.who.int/news-room/fact-sheets/detail/female-genital-mutilation (accessed October 28, 2024).Google Scholar
Care of Women and Girls Living with Female Genital Mutilation: A Clinical Handbook. Geneva: World Health Organization; 2018.Google Scholar
American College of Obstetricians and Gynecologists’ Task Force on Female Circumcision/Female Genital Mutilation. Female Genital Cutting: Clinical Management of Circumcised Women, 2nd ed. Washington, DC: American College of Obstetricians and Gynecologists, 2007.Google Scholar
Sarayloo, K, Latifnejad Roudsari, R, Elhadi, A. Health Consequences of the Female Genital Mutilation: A Systematic Review. Galen Med J. 2019;8:e1336.CrossRefGoogle ScholarPubMed
Pérez-López, FR, Ornat, L, López-Baena, MT, et al. Association of Female Genital Mutilation and Female Sexual Dysfunction: A Systematic Review and Meta-analysis. Eur J Obstet Gynecol Reprod Biol. 2020;254:236–244.Google ScholarPubMed
Anand, M, Stanhope, TJ, Occhino, JA. Female Genital Mutilation Reversal: A General Approach. Int Urogynecol J. 2014;25(7):985–986.CrossRefGoogle ScholarPubMed

Accessibility standard: Unknown

Accessibility compliance for the PDF of this book is currently unknown and may be updated in the future.

Save book to Kindle

To save this book to your Kindle, first ensure no-reply@cambridge-org.demo.remotlog.com is added to your Approved Personal Document E-mail List under your Personal Document Settings on the Manage Your Content and Devices page of your Amazon account. Then enter the ‘name’ part of your Kindle email address below. Find out more about saving to your Kindle.

Note you can select to save to either the @free.kindle.com or @kindle.com variations. ‘@free.kindle.com’ emails are free but can only be saved to your device when it is connected to wi-fi. ‘@kindle.com’ emails can be delivered even when you are not connected to wi-fi, but note that service fees apply.

Find out more about the Kindle Personal Document Service.

Available formats
×

Save book to Dropbox

To save content items to your account, please confirm that you agree to abide by our usage policies. If this is the first time you use this feature, you will be asked to authorise Cambridge Core to connect with your account. Find out more about saving content to Dropbox.

Available formats
×

Save book to Google Drive

To save content items to your account, please confirm that you agree to abide by our usage policies. If this is the first time you use this feature, you will be asked to authorise Cambridge Core to connect with your account. Find out more about saving content to Google Drive.

Available formats
×